Thanks Pat,
I dug out my correspondence w/ Dr. Gonto where I asked about "pre" supplementation… here it is;
Should I start giving her some vitamins/supplements even before I
get the other test results? If so, what/how many/how often? NO..NO..NO…NO..NO and NO. Clear enough? No reason to muck up our numbers so we have no clue of our starting point.
I also want to post this regarding the target PCO2 levels. In one of Tayda's sets of bloodwork she had a PC02 level of 33 and HC02 level of 20. Dr. Gonto was pleased, which confused me because the protocol states the target PCO2 level is between 45-47. So I wrote:
Are we shooting for the PC02 level of 45-47 as it states in the Protocol? Or is a PC02 level of 33 all right if the HC03 level is at least 20?
And he responded:
When I have time to rewrite the Protocol there needs to be a change in the PCO2 levels we look for. The original numbers came from my own dog and a number who were actually owned by vets or doctors and thus could be easily and often stuck for blood with very little stress. That means that those numbers…45-47 are correct...but for a dog AT REST. Normal dogs..at the vet, excited and getting poked, BLOW DOWN their CO2 by at least five. We now simply look at the lab result and ADD FIVE to get the AT REST number to use. Understand? Thus, a 40 CO2 would be PERFECT...but we rarely get there. Even if the dog is SUPER hyper, that may be WAY lower. If I can see a dog with a 37 or better CO2 I am happy. The MUCH more important number is the HCO3. That is the REAL deal as to what is going on with the bicarbonate..and YES, the goal is 20....or close to it.
I hope that all makes sense.
Steve
This may not make much sense right now, but just keep in mind that there is a little adjusting that is done to the target PC02 levels in the protocol - I pretty much have to reeducate myself every 3 -6 months when I take her in for repeat bloodwork to remember what exactly we are looking for.
Basically, my advice is - take all the numbers you get and send them to Dr. Gonto. He will respond and tell you what to do. And then you'll learn along the way what to look for…
It can be overwhelming - hang in there, it will get better, you'll settle into a routine. I was a total mess a year ago, and now all seems to be in order - but it still sucks every time I take her to the vet - i get SO anxious waiting for the test results.
As for CA - Just started the job hunt... working with some recruiters - but seems pretty quite over there for my industry right now. Maybe it will pick up after the New Year... if I don't find something by about March, I'll put my house up for sale and move after it sells and continue job hunting.
I'm home in Michigan now and will be doing intense wedding planning for the next 2 weeks! Then I'll go back to job hunting....